Community Medical Care Inc

“Form 990, part i, section a, line 4: form 990, part vi, section a, line 1b: enter the number of voting members that are independent. Based on the form 990 definition of "independence" as it relates to voting members of the governing body, one voting member is not independent because he is compensated as an employee of a related tax-exempt organization. Form 990, part vi, section a, line 2: did any officer, director, trustee, or key employee have a family relation- ship or business relationship with any other officer, director, trustee, or key employee? William h. Alexander, anthony aquilina, d.o., e. Allen deaver, robert j. Dietz, david t. Feinberg, m.d., mba, david j. Felicio, esquire, richard a. Grafmyre, william r. Gruver, frank m. Henry, thomas h. Lee, jr., m.d., robert e. Poole, don a. Rosini, glenn d. Steele, jr., m.d., ph.d., robert l. Tambur, frank j. Trembulak and edward j. Zych, esquire, all have a business relationship with one another because they serve as officers and/ or directors on one or more for-profit affiliates of community medical care, inc. All of the affiliates are part of the geisinger health system.”

“The members of the corporation have the power and authority to elect and remove directors, elect and remove the president and fill any vacancy in the office of the president of the corporation; and, may approve amendments to the corporate bylaws in lieu of such approval by teh board of directors. The members also have the reserve powers as set forth in the pennsylvania nonprofit corporation law.”

“The board of directors of the corporation shall serve as the governing body of the corporation. The president of the corporation shall be a director by reason of holding such office. The remaining directors shall be elected by the members at the annual meeting of the members. The members of the corporation may serve as directors and directors may succeed themselves from term to term. Vacancies on the board of directors shall be filled by the members at their discretion at the annual meeting of the members or at a special meeting called for such purpose.”

“All officers and directors were electronically provided a final copy of the form 990 prior to filing the return with the irs. An executive summary of the information reported on the return is provided to assist in the review. In accordance with the geisinger health system foundation board of director's finance committee charter, staff periodically reviews the ghs organizations' form 990 filings. The form 990 is prepared by the geisinger health system (ghs) tax and financial reporting departments with information provided from finance, tax, human resources, payroll, legal services and other relevant departments within the geisinger health system. The chief financial officer (cfo) of ghs and the individual organizations senior financial managers review their respective form 990 prior to making the final return available to the board. In addition, the chief legal officer and chief human resource officer of ghs review the information disclosed on the form 990 relevant to their respective areas of responsibility. For purposes of their annual audit of the ghs consolidated financial statements, independent auditors review all federal tax returns filed by the ghs organizations to identify material items, including if there are any uncertain tax positions that may be required to be recognized. The company had no uncertain tax positions required to be reported for fiscal year-ended june 30, 2015.”

“The officers and directors of community medical care, inc. Are subject to the ghs conflict of interest policy for directors, officers and senior leaders (may include independent contractors). At least once each year directors, officers, key employees, senior leaders (including independent contractors) and others designated by the board of directors are required to disclose in writing the existence of any potential financial interests that may give rise to a conflict of interest with any affiliate within the geisinger health system. The disclosures are reviewed by the office of the chief legal officer and reported to the audit committee and board of directors. After review of the financial interest and all material facts, input from department of legal services and any discussion with the person desired by the board or committee, the board decides if a conflict exists and takes appropriate action. The individual disclosing the financial interest is absent during the board deliberations and decisions on the matter.”

“The process to review and approve the compensation of ghs employed board directors, officers and executive management is designed to satisfy the rebuttable presumption procedure available for intermediate sanction purposes. The process requires a review of compensation determinations by disinterested parties, use of appropriate comparability data and contemporaneous documentation of the process. On an annual basis an independent, nationally recognized compensation consultant completes a comparative assessment of compensation for the ceo and senior management within ghs. The consultant's report is presented to the management and compensation committee prior to any compensation adjustment. The report supports the rigorous review completed by the management and compensation committee to ensure that the program is responsible to the geisinger charitable mission, reflects reasonable compensation within the nonprofit market and is compliant with the irs's intermediate sanction requirements. The survey data in the comparative analysis is captured for functionally comparable positions in multiple similar nonprofit organizations and reflects total remuneration provided in the market. All surveys are conducted by third party organizations and not conducted at the specific direction of geisinger. Any compensation adjustments are approved by management and compensation committee prior to the effective date of the payment. The management and compensation committee at its sole discretion may positively or negatively adjust any recommended compensation.”

“See schedule o response to form 990, part vi, section b, question 15a.”

“The mission statement is available on the geisinger health system website at www.geisinger.org. The annual report for geisinger health system, containing community benefit information, consolidated financial information and other information, are available on the geisinger health system website. Go to: www.geisinger.org/pages/about-geisinger and select annual reports. Financial statements, the complete form 990 and form 990-t, the conflicts of interest policy, and other governing documents are available to the public upon request.”

“To enhance the quality of life of the population served by providing access to quality population health and hospital services across northeastern pennsylvania through an integrated service organization based on a balanced program of patient care,education,research and community service.”

“Community medical care, inc. ("cmci") was incorporated in 1983 as a non- stock, not-for-profit corporation under the laws of the commonwealth of pennsylvania and is a irc code 501(c)(3) federal tax-exempt entity. Cmci operates physician outpatient clinics to provide ambulatory patient medical and health services. During the course of the year the organization provided services to approximately 1,125 members of the community. Uncompensated care: cmci recognizes that its mission is to serve all the members of the community with respect to the provision of healthcare services and education. Cmci provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. In this regard cmci provides free or subsidized care below cost and supports various health activities and programs in support of the community. A.charity care the primary concern of cmci is the delivery of health care to all the citizens of northeastern pennsylvania, regardless of their ability to pay. The unreimbursed cost of charity care represents the cost cmci incurs by providing free or discounted services to those who cannot afford to pay. The cost to cmci of providing this charity care during the fiscal year ended june 30, 2015 was 44,729. B.medicare/medicaid/other governmental recognizing its mission to the community, services are provided to the elderly (medicare), the poor (medicaid), and other. Cmci provides care below cost to persons covered by these governmental programs. To the extent reimbursement is below the cost of providing healthcare, cmci is furthering its charitable mission. The unreimbursed value of medicare, medicaid and other governmental payers is equal to the cost of providing services less the amount received as reimbursement under the program. For fiscal year ended june 30, 2015, the unreimbursed cost of providing care to these patients was 632,815. C.other uncompensated patient services in addition, cmci provides other patient services for which full payment is not received. The uncompensated cost of providing such patient services during the fiscal year ended june 30, 2015 was 29,302. Community service summary: medicare/medicaid shortfall 632,815 charity care 44,729 uncompensated care 29,302 ----------- total 706,846”

“Form 990, part v, line 1a: enter the number reported in box 3 of form 1096, annual summary and transmittal of u.s. Information returns. Geisinger system services (gss), an affiliate of the organization, provides a centralized accounts payable function for all organizations of the geisinger health system. As the accounts payable processor, gss prepares and files form 1099 under its ein for all reportable payments of the filing organization. The number of form 1099's filed by gss for the 2014 reporting period on behalf of itself and its affiliates was 1,582.”

“Transfer from geisinger health system foundation 2,000,000 total other changes in net assets 2,000,000”

“Form 990, part xii, line 3a: as a result of a federal award, was the organization required to undergo an audit or audits as set forth in the audit act or omb circular a-133? Federal awards are audited as a part of the geisinger health system's consolidated report on federal awards in accordance with omb circular a-133. Footnote: throughout form 990, the terms "geisinger health system- and "system- or the acronym "ghs" shall refer to the entire healthcare system comprised of geisinger health system foundation ("the foundation") as parent and all subsidiary corporations comprising the system.”